I am an NP/PA taking the Buprenorphine training. What waiver notification form do I use?
The online form became available 2/27/17 and is the same one completed by MDs/DOs: the online Buprenorphine Waiver Notification form. Once you have completed all three parts of the waiver training activity, you must fill out the online form on SAMHSA/CSAT's website. In addition to submitting the application, you must also send copies of your certificates to SAMHSA via email at firstname.lastname@example.org or by faxing to 301-576-5237. For more information, you may visit SAMHSA's site Qualify for Nurse Practitioners (NPs) and Physician Assistants (PAs) Waiver.